Alfred J Daniels (NPI# 1174607360, PAC ID# 0244363018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174607360 |
| PAC ID by PECOS | 0244363018 |
| Professional Enrollment ID | I20100730000007 |
| Full Name | Alfred J Daniels |
| Organization Legal Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Address |
2020 Highmarket St Georgetown SC 29440-2618 |
| Phone Number | 8438873929 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1968 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658280334 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| 420104 | MOUNT PLEASANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2020 Highmarket St, Georgetown, SC 29440-2618 | 8438873929 | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| 8189 Choppee Rd, Georgetown, SC 29440-6374 | 8438873929 | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 8438873929 | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Organization Legal Name | ST. JAMES-SANTEE FAMILY HEALTH CENTER INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi D Miller | Nurse Practitioner | St. James-santee Family Health Center Inc. | 8189 Choppee Rd, Georgetown, SC 29440-6374 |
| Darlene Arnette Fludd | Nurse Practitioner | St. James-santee Family Health Center Inc. | 2482 Powell Rd, Georgetown, SC 29440-8590 |
| Walter M Bonner | Rheumatology | St. James-santee Family Health Center Inc. | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 |
| Tyler Cole | Nurse Practitioner | St. James-santee Family Health Center Inc. | 1189 Tibwin Rd, Mcclellanville, SC 29458-9501 |
| Street Address |
2020 HIGHMARKET ST |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-2618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Monica Lynn Selander-han | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GEORGETOWN + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.